A young client admits to binge eating that is out of control. She denies purging and resists working on a goal for treatment. Which is the most therapeutic response by the nurse?
A) "Purging means inducing vomiting or using laxatives or enemas."
B) "Binging can be compensated with other means."
C) "Tell me what do you do after you binge?"
D) "Perhaps meeting other bulimics would be helpful."
C
Feedback:
The client is in denial or misunderstands the diagnosis of bulimia nervosa. She admits to binge eating so the best response would ask the client to describe what action is taken after the binging and how she compensates for the ingestion of massive amounts of food. This will allow a starting point for further communication and discussion. Defining what purging means is not therapeutic. Meeting other bulimics is not indicated.
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